鼻空肠管和鼻胃管在重型颅脑损伤患者早期肠内营养中应用效果的比较  

Comparison of nose jejunal tube and nasogastric tube in providing early enteral nutrition for patients with severe craniocerebral injury

作　　者：曾荣城[1] 蒋福刚[1] 谢琪[1] 

机构地区：[1]中国人民解放军181中心医院营养,广西桂林541002

出　　处：《中华临床营养杂志》2010年第6期355-357,共3页Chinese Journal of Clinical Nutrition

摘　　要：目的 比较鼻空肠管和鼻胃管在重型颅脑损伤患者早期肠内营养中的应用效果.方法 采用随机数字表法将40例重型颅脑损伤需行早期肠内营养支持的患者随机分为鼻空肠管组和鼻胃管组,每组20例,比较营养支持后两组患者的生化指标、胃肠道耐受和并发症发生情况.结果 营养支持前后,两组患者血清白蛋白、血糖和淋巴细胞计数水平的组间差异均无统计学意义（P均＞0.05）.营养支持后14 d,鼻空肠管组患者的血糖水平较营养支持前明显降低（P=0.0001）.营养支持1周内,鼻空肠管组患者反流（P=0.001）、腹胀（P=0.011）的发生率均明显低于鼻胃管组患者.结论 鼻空肠管对重型颅脑损伤患者早期肠内营养支持效果优于鼻胃管.Objective To compare the effectiveness of nose jejunal tube （NJT） and nasogastric tube （NGT） in providing early enteral nutrition for patients with severe craniocerebral injury. Methods Forty patients with severe craniocerebral injury and required early enteral nutrition were equally and randomly divided into NJT group and NGT group based on the tube type. The biochemical indicators, gastrointestinal tract tolerance, and complications were compared between these two groups. Results Serum albumin, blood glucose, and lymphocyte count were not significantly different between these two groups before and immediately after nutritional support （all P 〉0. 05）. However, 14 days after nutritional support, the blood sugar level significantly decreased compared with the baseline levels in the NJT group （P =0. 0001）. The incidences of reflux （P = 0. 001） and abdominal distension （P =0.011） were significantly lower in NJT group than in NGT group. Conclusion NJT is superior to NGT in providing early enteral nutrition for patients with severe craniocerebral injury.

关 键 词：重型颅脑损伤 鼻空肠管 鼻胃管 肠内营养 

分 类 号：R651[医药卫生—外科学]